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Bret Boucher
Pharmacist in Peoria, Illinois
NPI 1285061887

Bret Boucher is a Pharmacist based in Peoria, IL. Bret Boucher practices in Peoria, IL. The NPI Number for Bret Boucher is 1285061887 and holds a License No. 051038938 (Illinois).

The current practice location address for Bret Boucher is 901 W Lake Ave, Peoria, IL and can be reached out via phone at 309-682-2761 and via fax at 309-682-4267.

Location: 901 W Lake Ave, Peoria, IL, 61614-5968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285061887
Provider Name
Bret Boucher
Credential
Provider Entity Type
Individual
Gender
Male
Address
901 W Lake Ave, Peoria, IL, 61614-5968
Phone Number
309-682-2761
Fax Number
309-682-4267
Provider Enumeration Date
09/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
901 W Lake Ave
City
Peoria
State
Illinois
Zip
61614-5968
Phone Number
309-682-2761
Fax Number
309-682-4267
person
Provider Business Mailing Address Details
Address
901 W Lake Ave
City
Peoria
State
Illinois
Zip
61614-5968
Phone Number
309-682-2761
Fax Number
309-682-4267
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
051038938 (Illinois)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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